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HomeMy WebLinkAboutFRANSEN-PITTMAN CONSTRUCTION CO INC - INSURANCE CERTIFICATE (4)Client#: 33434 FRACONPC ACORDIM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 17/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Holmes Murphy -Colorado 7600 East Orchard Rd, Ste 330 South CONTACT NAME: PHONE 515 223-6800 FAX A/C, No Ext : (AJC, No): E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # Greenwood Village, CO 80111 INSURER A: Valley Forge Insurance Company 20508 INSURED Fransen-Pittman Construction Co., Inc. 9563 South Kingston Court, Ste 200 INSURER B;The Continental Insurance Compa 35289 INSURERC: Pinnacol Assurance Company 41190 INSURER D : Atlantic Specialty Insurance Co 27154 Englewood, CO 80112 - INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR- LTR TYPE OF INSURANCE ADDLISUBR INSR IWVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR PD Ded:5,000 X 6050176991 8/01/2017 08/01/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $500 000 X MED EXP (Any one person) $15 000 PERSONAL SADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY � JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNEDPROPERTY X HIRED AUTOS X AUTOS 6050177008 8/01/2017 08/01/201 EOMBIN a.,d.n') SINGLE $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE Per accident $ B X UMBRELLA LIAS EXCESS LIAB X OCCUR CLAIMS -MADE 6050177011 8/01/2017 08/01/201 EACH OCCURRENCE $20OOO OOO AGGREGATE $20OOO OOO ii DED I X RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? N (Mandatory in NH) I f yes, describe under DESCRIPI ION OF OPERATIONS below N/A 4046117 8/01/2017 08/01/201 X PER OFRT E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE -POLICY LIMIT 1 $500,000 D Installation Fltr Temp Loc/Transit Lease/Rent Equip 7100373080000 8/01/2017 08/01/201 $1,500,00031,000 Ded $500,000/$1,000 Ded $500,000/$1,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractors License Contractors License #: B373 ER City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) 1 of 1 #S296379/M296331 © 1988-2014 ACORD GURPUKA I IUN. All ngnts reservea. The ACORD name and logo are registered marks of ACORD ATEC1